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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023844-federman-final-report-2017.pdf
January 01, 2017 - was a sub-optimal patient education tool, had little value for their patients, and represented their institution … Most said that as a result, the redesigned AVS at their institution was “not optimal.” … are visually distracting and inconsistent with other printed materials provided to
patients at our institution
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
March 31, 2004 - Creating a Curriculum for Training Health Profession Faculty Leaders
299
Creating a Curriculum for Training
Health Profession Faculty Leaders
Pamela H. Mitchell, Lynne S. Robins, Douglas Schaad
Abstract
Objectives: An interprofessional, collaborative group of educators, patient safety
officers, and Federal …
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psnet.ahrq.gov/issue/analysis-academic-medical-centers-corrective-action-plan-response-fatal-medication-error
February 21, 2018 - Commentary
Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness.
Citation Text:
Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s co…
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psnet.ahrq.gov/issue/evaluation-organizational-culture-among-different-levels-healthcare-staff-participating
February 01, 2012 - Study
Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.
Citation Text:
Sinkowitz-Cochran R, Garcia-Williams A, Hackbarth AD, et al. Evaluation of organizational culture amo…
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psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional
March 30, 2022 - Commentary
A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change.
Citation Text:
Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional ch…
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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit1-suspected-uti-sbar.html
November 01, 2024 - Toolkit 1. Suspected UTI SBAR Toolkit
Toolkit Effectiveness A study in 12 nursing homes in Texas found that using the Suspected UTI SBAR form reduced antibiotic prescriptions for asymptomatic bacteriuria by about one-third. 1 Overview of the Toolkit Why Should a Nursing Home Use the Suspected UTI SBAR Toolkit? …
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psnet.ahrq.gov/issue/blood-bank-specimen-mislabeling-college-american-pathologists-q-probes-study-41333-blood-bank
November 16, 2022 - Study
Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions.
Citation Text:
Novis DA, Lindholm PF, Ramsey G, et al. Blood Bank Specimen Mislabeling: A College of American Pathologists Q-Probes Study of 41 333 …
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psnet.ahrq.gov/issue/early-adopters-computerized-physician-order-entry-hospitals-care-children-picture-us-health
December 20, 2023 - Study
Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality.
Citation Text:
Teufel RJ, Kazley AS, Basco WT. Early adopters of computerized physician order entry in…
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psnet.ahrq.gov/issue/assessing-perceived-level-institutional-support-second-victim-after-patient-safety-event
April 07, 2021 - Study
Assessing the perceived level of institutional support for the second victim after a patient safety event.
Citation Text:
Joesten L, Cipparrone N, Okuno-Jones S, et al. Assessing the perceived level of institutional support for the second victim after a patient safety event. J Pati…
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psnet.ahrq.gov/issue/reducing-rate-catheter-associated-bloodstream-infections-surgical-intensive-care-unit-using
November 16, 2022 - Study
Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle.
Citation Text:
Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream infe…
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psnet.ahrq.gov/issue/urgent-need-improve-health-care-quality-institute-medicine-national-roundtable-health-care
May 27, 2015 - Commentary
Classic
The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality.
Citation Text:
Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National Roundtable o…
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psnet.ahrq.gov/issue/disclosure-and-resolution-programs-include-generous-compensation-offers-may-prompt-complex
November 20, 2024 - Study
Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response.
Citation Text:
Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient r…
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psnet.ahrq.gov/issue/err-human-building-safer-health-system
July 08, 2016 - Book/Report
Classic
To Err Is Human: Building a Safer Health System.
Citation Text:
To Err Is Human: Building a Safer Health System. Kohn KT, Corrigan JM, Donaldson MS, eds. Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: Nati…
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psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety
July 12, 2016 - Book/Report
Classic
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.
Citation Text:
Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours…
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psnet.ahrq.gov/issue/covid-19-peer-support-and-crisis-communication-strategies-promote-institutional-resilience
February 03, 2021 - Commentary
Classic
COVID-19: peer support and crisis communication strategies to promote institutional resilience.
Citation Text:
Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience. Ann Int…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/long-term-care-adults_research-protocol.pdf
December 20, 2011 - Source: www.effectivehealthcare.ahrq.gov
Published Online: December 20, 2011
1
Evidence-based Practice Center Systematic Review Protocol
Long-Term Care for Older Adults: A Comparative Effectiveness Review of
Institutional versus Home and Community-based Care
I. Background and Objectives for the Systema…
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psnet.ahrq.gov/issue/organizational-culture-and-its-implications-infection-prevention-and-control-healthcare
October 06, 2010 - Review
Organizational culture and its implications for infection prevention and control in healthcare institutions.
Citation Text:
De Bono S, Heling G, Borg MA. Organizational culture and its implications for infection prevention and control in healthcare institutions. J Hosp Infect. 20…
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psnet.ahrq.gov/issue/improving-patient-safety-office-institute-safety-office-based-surgery
August 13, 2014 - Newspaper/Magazine Article
Improving patient safety in the office: The Institute for Safety in Office-Based Surgery.
Citation Text:
Improving patient safety in the office: The Institute for Safety in Office-Based Surgery. Urman RD, Shapiro FE. APSF Newsletter. 2011;3-4,9.
…
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psnet.ahrq.gov/issue/institutional-covid-19-protocols-focused-preparation-safety-and-care-consolidation
September 30, 2020 - Commentary
Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation.
Citation Text:
DiSilvio B, Virani A, Patel S, et al. Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. Crit Care Nurs Q. 2020;43(4):413-427. doi:10…
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psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
August 28, 2019 - Study
Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.
Citation Text:
Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198.
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